Abstract

Pathological ageing, involving chronic oxidative and inflammatory stress increases the risk of cognitive degenerative diseases such as dementia, including Alzheimer's disease (AD). Inflammatory stress contributes to unregulated aberrant activation of innate immune system leading to "neuroinflammation". Microglia, the resident immune cells of the CNS, can either trigger chronic neuroinflammatory pathways resulting in gradual neurodegeneration or promote neuroprotection and repair via down regulation of neuroinflammation. Augmented glial activation, accompanied by increased levels of pro-inflammatory cytokines such as IL-6 and TNF-α are biomarkers of ageing and age-related diseases, and shown to contribute to neurodegeneration. AD is characterized by a progressive downregulation of markers within cholinergic basal forebrain (BF) neurons, cholinergic cell loss and diminished cortical choline acetyltransferase (ChAT) activity associated with cognitive decline. While the underlying mechanism leading to cholinergic loss is still unknown, several studies suggest chronic inflammatory processes may contribute to the pathology. Within the BF, the medial septum (MS) provides most of the cholinergic innervations into the hippocampus and the cortex, hence this study investigated the effects of aging and chronic neuroinflammation on the septal cholinergic cell numbers and morphology. 12 and 24 months old GFAP-IL6 (presenting continuous IL6 expression under the GFAP promoter, contributing to chronic microglia activation) and ChATBAC -eGFP (cholinergic neurones tagged by GFP to represent the effect of healthy ageing) mice were used. Immunohistochemistry combined with unbiased stereology were used to estimate the number of Iba1+ microglia and ChAT+ cholinergic cells in the MS. The number of Iba1+ microglia in the MS showed a significant 1.2 and 1.4-fold increase in the GFAP-IL6 mice at 12 and 24 months respectively, compared to WT cohorts. Meanwhile, the number of ChAT+ cells in the MS are significantly reduced by 1.4 and 1.2-folds in the GFAP-IL6 mice at 12 and 24 months respectively, compared to WT cohorts. Differences in microglial and cholinergic cell morphology between GFAP-IL6 and WT was also investigated. These findings demonstrate a potential direct effect of chronic microglia activation on cholinergic cell number in the MS which can exacerbate throughout ageing leading to neurodegenerative impairments.

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